Biomedical subjects
S Abate
Publications and source records attributed to S Abate.
[Our approach to the treatment of cold nodular lesions of the thyroid].
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[Indications, results and complications of papillostomy. Our experience].
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[Martorell's ulcer].
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[Clinico-diagnostic considerations on lymphocytic thyroiditis. Presentation of clinical cases].
Personal experience with autoimmune lymphocyte thyroiditis, represented by 11 cases observed between 1972 and today, is reported. After some brief aetiopathogenetic notes on the lesions in question, the problems of diagnosing the nature of the thyropathy are stressed. After reviewing the examinations that have been proposed in the literature, it is noted that the preoperative recognition of a thyroiditis with autoimmune genesis is still problematical. The institution of a diagnostic protocol based on the systematic search for antibodies, the perchlorate test, the thyrostimulation test, ESR study, the search for alpha2 and gamma-globulins, scintigraphy with positive indicators and needle biopsy as well as on scintigraphy and thyrometabolic tests (T3-T4-TSH-TRH test) is proposed. Even when such a protocol is adopted, however, it should be mentioned that only in 18% of the personal cases was it possible to diagnose thyroiditis, in the other subjects this being merely an occasional post-operative finding. In confirming the personal therapeutic approach, which at least initially is medical, for recognized forms, it is pointed out that surgical treatment is to be preferred in certain cases because of the presence of compressive phenomena, and in others it appears capable of relieving, in follow-up, the thyroiditic process, probably as a result of the removal of the antigenic tissue.
[Diagnostic problems in thyroiditis].
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[Therapy of pulmonary suppurations].
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[Ectopic liver (clinical case)].
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[On the behavior of plasmatic and urinary magnesium in patients with thyroid diseases].
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[Electrolyte exchange in obstructive arteriopathies of limbs. Changes in blood magnesium levels].
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[Modifications of blood magnesium in some liver and biliary tract diseases of surgical interest].
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[Blood magnesium levels in patients with various types of neoplasms].
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[Neurinoma of the cervical vagus nerve: anatomo-clinical and therapeutic considerations].
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[Physiopathology caused by magnesium in the surgical patient. IV. Clinical studies in the immediate postoperative period].
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[Upper esophageal sphincter: pressure studies after acidification of the distal esophagus].
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[Anatomo-surgical considerations on the inguinal region. I. The external oblique muscle].
In the light of recent publications where common hernia repair techniques are defined as unanatomical and unphysiological, a study of the anatomy of the inguinal region has been undertaken layer by layer on cadavers. The first note analyses the most superficial layer of the inguinal region, namely the external oblique muscle. Having described the dissection technique, the most significant data regarding this formation are examined. Although the correctness of the data given in anatomy textbooks is confirmed in the majority of cases, study of necroptic findings highlights a number of factors which are misunderstood or have been insufficiently analysed. Findings included vibices of the external oblique aponeurosis, to which no pathogenetic importance is attributed with respect to inguinal hernia, as well as the presence of an internal tunic of Lauth's ligament which was not easy to strip away from the posterior surface of the external oblique muscle and, finally, localization variations of the external inguinal ring. The secondary involvement of the aponeurosis of the external oblique muscle in the genesis of inguinal hernia is confirmed along with its importance as a reinforcement in hernia repair operations, the containment function proper being performed by the posterior wall. A subsequent note will deal with this.
[Anatomo-surgical considerations on the inguinal region. II. The internal oblique muscle and transverse muscle].
Following a previous note on the musculus obliquus externus, attention is now directed to the obliques internus and the transversus in an assessment of the anatomical formations of the groin, in the light of doubts concerning their constitution expressed in the recent literature, and in a critical appraisal of the hernioplasty techniques proposed. Data from the cadaver, which appear to be of particular interest, show muscle-aponeurosis fissures in both the obliquus parvus and the obliquus externus; these may be the cause of recurrent hernias. The differences in the extent of the muscle and aponeurosis portions of the obliquus internus and the greater or lesser area of the trigonum inguinale, which is covered by aponeurotic fibres of the transversus, are regarded as important factors in the genesis of inguinal hernia.